1 patient transfer

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					             ‫بسم اهلل الرحمن الرحيم‬

Accident and Emergency Radiography

Level 8
Course No: RAD 422
Timing:     Sunday (1-3)
Instructor: A. Musa
                    Topics outline
Primary care of emergency patient      The acute chest, causes , and
( Patient transfer).                   radiographic investigations
The emergency Trolley :contents &      The acute abdomen , causes , and
uses                                    radiographic management.
Types of injuries & fractures ,        Acute medical conditions investigated
complications and management           with isotopes
Shock, Types, causes & management      Low back-ache
Injuries (especially blunt trauma to   Emergencies in obstetrical practice
chest and abdomen).
Head & spine injuries, Types,          Efficiency of different modalities in
complications, and management          the management of trauma.
   Frank M. Pierson “Principles & Techniques of
    Patient Care”, Saunders, 4th edition, 2007

Useful websites
              Lecture 1
   Primary care of emergency patient
(Transference and handling techniques)
By the end of this Lecture the student will be able to:
•   Describe the trolley design and its basic components.
•   List the basic safety factors that must be considered when moving
    a patient.
•   List and identify principles of body mechanics.
•   Identify the components of lifting techniques.
•   Determine the amount of assistance involved with the transfer process.
•   Discus the correct manner of transferring the patient:
     a.   from a wheelchair to the x-ray table.
     b.   from the x-ray table to a wheelchair.
     c.   from a stretcher to the x-ray table.
     d.   from x-ray table to the stretcher.
•     Explain the safety precautions when examining patients with
    Foley catheter, IV bottle, and chest drainage system.
Trolley used for transporting a patient must have certain character-
istics to make it suitable for severe injured patients which include:

•   A means of tilt the trolley top.
•   A variable height adjustment.
•   A drip stand holder.
•   An oxygen bottle holder.
•   Brakes on the wheels.
•   A radiolucent rubber covered foam
    mattress capable of being detached to
    slide across onto an x-ray table.
•   An adjustable backrest which can be
    inclined at various angles.
•   A side rest which can be raised
    and lowered as necessary.
• Check chart for precautions before
  the transfer to minimize patient pain.
• Let patient do as much of the transfer
  as possible.
• Use a wide base of support for (your)
  own stability.
  1. Use Proper Body Mechanics:
 Safest way of lifting and moving things is to use
 these principles of body mechanics:

  – Center of gravity (pelvic area).
  – Base of support (the feet).
  – Body alignment.
Using Proper Body Mechanics
2. Hold the patient with a transfer belt
   around the waist:
3. Avoid trunk twisting during the transfer:
4. Watch patient for signs of a emergency
   state and take precautions to minimize
   its effects:
1. Check chart for precautions before a transfer to minimize
   patient’s pain.
2. Let the patient do as much of the transfer as possible.
3. Use wide base of support for your stability.
4. Hold the patient with a transfer belt around the waist .
5. Avoid trunk twisting during transfer.
6. Watch the patient for signs of an emergency state, and
   immediately take precautions to minimize its effects.
Using the body’s major moveable parts (head, trunk,
arms, and legs) in an efficient manner will maintain
balance, conserve energy, and avoid strain and injury
while performing work.

•    Prevent injury to self.
•    Reduce energy consumption.
• Posture.
• Alignment of head, trunk, arms,
  and legs.
• Proper alignment of the body.
• Coordination of body movements.
• Avoid unnecessary bending.
• Avoid unnecessary lifting.
• When lifting, face the object you are moving.
• When changing direction of movement, turn
  your whole body.
• Use your strongest muscles to do work.
• Use your thighs and hips by bending knees
  when lifting.
• Use both arms to lift.
• Move smoothly, avoid jerky movements.
• Hold heavy objects close to the body or stand close
  to the person or object being moved.
• If you hold the object away from the body, strain is
  placed on the muscles of the lower arms.
• Get assistance if the person or object is too heavy.
• Increase your base of support by placing your feet
  slightly apart (eight to ten inches works well for most
• Avoid lifting heavy items above the head.
Wheelchair transfer
• Standby assist transfer
• Two person lift
• Hydraulic lift techniques
• Assisted standing pivot

Cart transfer (stretcher )
           Standby assist transfer
For patients who have ability to transfer from a wheelchair to the
patient’s table on their own .
• Position the wheelchair at a 45 degree angle
  to the patient’s table.
• Move the wheelchair footrest out of the way .
• Be sure the wheelchair is locked, then instruct
  the patient to:
• Sit on the edge of the wheelchair seat .
• Push down on the arms of the chair to
  assist in rising up.
• Stand up slowly .
• Reach out and hold onto the table with the
  hand close to the table .
• Hold onto the table with both hand and sit
  down .
                Two persons lift
For patients who cannot bear weight on their lower extremities.
          Hydraulic lift techniques
For patients who are too heavy to be lifted manually.
       Assisted standing pivot transfer
For patients who cannot transfer independently.
 For a patient with a Foley catheter, during a
   radiological examination, place the drainage bag
   and tubing below the level of the bladder to
   maintain the gravity flow of urine.

 Placement of the tubing or bag above or level
   with the bladder will allow backflow of urine into
   the bladder. This reflux of urine can increase
   chances of urinary tract infection (UTI).
 Chest tubes are used to remove air, blood, or fluid
  from the pleural cavity.
 When examining a patient with a chest drainage
  system, it should always be kept below the level of
  the patient's chest.
 The technologist must take care that the tubes of
  the chest drainage unit do not kink and do not get
  caught on radiographic equipment.
 The unit must remain below the level of the chest
   in order to work properly.
 It is recommended that the IV bottle be kept 18
   to 20 in above the level of the vein.
 If the bottle is too high, the pressure of the IV fluid
   can cause it to pass through the vein into surround-
   ing tissues, causing a painful and potentially harmful
   condition. If the IV bottle is (too low), the blood may
   return through the needle into the tubing, form a
   clot, and obstruct the flow of IV fluid.
Patient Transfer Interactive quiz At



•   Results must be submitted before the next lecture